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Skilling up for training: a feasibility study investigating acute effects of stochastic resonance whole-body vibration on postural control of older adults

机译:技能培训:一项可行性研究,研究随机共振全身振动对老年人姿势控制的急性影响

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The present pilot study investigated the feasibility of applying a single bout stochastic resonance whole-body vibration in deconditioned elderly individuals and the effects on static and dynamic balance and reaction time. We report the results of a non-blinded randomized control trial with a pre-test/post-test design. Twenty elderly individuals were randomized into either single bout stochastic resonance whole-body vibration (SR-WBV) (n=10, frequency 5 Hz, Noise 4) or control (n=10). SR-WBV received 5 sets of 1 min stochastic whole-body vibration (5 Hz, Noise 4: vibration with a randomly varying frequency, 1=low, 4=high) with 1 min rest in between. The control group rested for 10 min without any intervention. Functional reach test (FRT), semi-tandem stand (STS), Expanded Timed Get Up-and-Go Test (ETGUG), single task- (ST) and dual task walking time (DT), chair rising (CR), and foot (RTF) and hand reaction time (RTH) were measured before and after the intervention. Within- and between group differences were analyzed using repeated measures. In order to assess the meaningfulness of pre-training to post-training changes, the effect size (ES) was calculated according to Cohen’s d. All participants in the study accepted and adhered to the WBV session and performed scheduled follow-up measurements. There were no adverse events. Change values for dynamic balance showed a strong trend towards improvement for FRT of about 4.5% (ES=0.52, P=0.161). Change values for RTF (5.9%; ES=0.55; P =0.169) showed a trend towards improvement in the SR-WBV only. The results suggest that stochastic resonance WBV is both safe and well accepted by elderly individuals in assisted living institutions, and might have beneficial effects on balance in these adults. Further research is warranted to determine whether this device might be of use in the skilling-up phase of an exercise program when training is initiated in strongly deconditioned and/or frail elderly. The new training protocol is expected to allow for safe skilling-up training of deconditioned older adults in assisted living institutions.
机译:目前的先导研究调查了在衰弱的老年人中应用单回合随机共振全身振动的可行性以及对静态和动态平衡以及反应时间的影响。我们报告了一项具有预测试/后测试设计的非盲随机对照试验的结果。 20名老年人被随机分为单回合随机共振全身振动(SR-WBV)(n = 10,频率5 Hz,噪声4)或对照组(n = 10)。 SR-WBV接收5组1分钟的随机全身振动(5 Hz,噪声4:频率随机变化的振动,1 =低,4 =高),中间休息1分钟。对照组休息10分钟,无任何干预。功能范围测试(FRT),半串联站立(STS),扩展定时起步测试(ETGUG),单任务(ST)和双任务步行时间(DT),椅子上升(CR)和干预前后分别测量足部(RTF)和手部反应时间(RTH)。使用重复测量分析组内和组间差异。为了评估训练前变更对训练后变更的意义,根据Cohen的d计算了效应大小(ES)。该研究的所有参与者均接受并参加了WBV会议,并进行了计划的随访测量。没有不良事件。动态平衡的变化值显示出快速改善FRT的强烈趋势,约为4.5%(ES = 0.52,P = 0.161)。 RTF的更改值(5.9%; ES = 0.55; P = 0.169)显示仅SR-WBV有改善的趋势。结果表明,随机共振WBV既安全又被老年人在生活辅助机构中接受,并且可能对这些成年人的平衡产生有益影响。当对严重残疾和/或体弱的老年人进行培训时,有必要进行进一步的研究以确定该设备是否可用于锻炼计划的技能训练阶段。预计新的培训规程将允许在辅助生活机构中对残疾的老年人进行安全的技能培训。

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